Hospital

MERIT HEALTH CENTRAL

Jackson, MS · CCN 250072 · Rates published

8,602 distinct procedures filed

64 distinct payers

721,802 rate rows

2026-05-24 last MRF observed

Data quality

670,792 of 721,802 rate rows are consumer-grade (92.9%)

51,010 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	18,154
per-diem day rate — not a per-procedure price	13,424
placeholder amount (≤ $0.02) — excluded from medians	13,262
template filing: same amount across many unrelated codes — excluded	3,834
exceeds 10× this hospital's gross charge — excluded from medians	2,336

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.merithealthcentral.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/640907122_merit-health-central_standardcharges.csv
Found on page	https://www.merithealthcentral.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	5fcaa26908ff57b9… · 164,108,938 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	$72,059.88	$917,827.08	$458,764.69	nat. median $386,529 1.2× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$304,751.38	$359,285.84	$332,018.61	nat. median $0
583-4 OTHER	Neonate With Ecmo	8	$327,626.86	$353,837.00	$330,903.12	nat. median $309,400 1.1× median
7 OTHER	Lung Transplant	32	$39,947.05	$1,297,708.32	$306,104.71	nat. median $169,933 1.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$268,742.83	$290,242.25	$271,430.25	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	8	$259,486.85	$280,245.80	$262,081.72	nat. median $259,487 1.0× median
98159699-3303939 OTHER	Insertion Of Impella Heart Pump - Gl 106	24	$8,512.68	$353,531.00	$247,471.70	nat. median $247,472 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	7	$232,467.30	$251,064.68	$234,791.97	nat. median $216,800 1.1× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	32	$21,329.08	$507,955.22	$228,261.07	nat. median $239,422 1.0× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$195,063.44	$210,668.52	$197,014.08	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	8	$191,346.89	$206,654.65	$193,260.36	nat. median $191,347 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$175,271.74	$189,293.48	$177,024.46	nat. median $151,250 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$173,134.48	$186,985.23	$174,865.82	nat. median $165,000 1.1× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$169,531.65	$183,094.18	$171,226.97	nat. median $153,523 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$169,253.66	$182,793.95	$170,946.19	nat. median $156,696 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$168,174.20	$181,628.13	$169,855.94	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	8	$165,358.21	$178,586.86	$167,011.79	nat. median $171,226 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	$13,832.38	$323,299.32	$164,882.65	nat. median $146,562 1.1× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	$161,453.90	$174,370.21	$163,068.44	nat. median $203,379 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	35	$6,930.00	$387,059.65	$162,283.90	nat. median $181,005 0.9× median
161-4 OTHER	Implantable Heart Assist Systems	8	$160,593.79	$173,441.29	$162,199.72	nat. median $202,242 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$152,401.34	$164,593.45	$153,925.35	nat. median $172,311 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$148,606.97	$160,495.53	$150,093.04	nat. median $124,561 1.2× median
002-3 OTHER	Heart And/or Lung Transplant	7	$143,753.72	$155,254.02	$145,191.26	nat. median $133,471 1.1× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	$140,888.59	$152,159.68	$142,297.48	nat. median $107,050 1.3× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	35	$3,570.00	$569,526.76	$133,453.58	nat. median $134,983 1.0× median
006-4 OTHER	Pancreas Transplant	7	$131,237.06	$141,736.03	$132,549.43	nat. median $92,449 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$125,634.73	$135,685.50	$126,891.07	nat. median $125,000 1.0× median
106377192-3303939 OTHER	Ic-insert Defibrillator System [msmh]	24	$8,512.68	$178,218.00	$124,752.60	nat. median $124,753 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	8	$123,031.66	$132,874.19	$124,261.97	nat. median $152,491 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$113,251.39	$122,311.50	$114,383.91	nat. median $151,691 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$112,711.39	$121,728.30	$113,838.51	nat. median $112,711 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	7	$106,680.83	$115,215.30	$107,747.64	nat. median $106,681 1.0× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$105,647.44	$114,099.23	$106,703.91	nat. median $105,647 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	32	$15,363.38	$451,732.15	$102,795.13	nat. median $111,558 0.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$100,636.02	$108,686.90	$101,642.38	nat. median $110,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	$99,157.23	$107,089.81	$100,148.80	nat. median $99,157 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	$99,066.83	$106,992.18	$100,057.50	nat. median $99,067 1.0× median
161-2 OTHER	Implantable Heart Assist Systems	8	$98,783.50	$106,686.18	$99,771.33	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$98,525.65	$106,407.70	$99,510.90	nat. median $150,954 0.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	$96,498.59	$104,218.48	$97,463.58	nat. median $100,015 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	30	$7,146.06	$264,712.77	$95,641.13	nat. median $100,915 0.9× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$94,250.41	$101,790.44	$95,192.92	nat. median $95,000 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	8	$93,844.33	$101,351.88	$94,782.78	nat. median $101,352 0.9× median
106412423-3303939 OTHER	Medtcrdm- Defib Crd Rsyn Thrpy Df1cblt Ea1[msmhl]	24	$8,512.68	$170,061.30	$94,478.50	nat. median $94,478 1.0× median
106413418-3303939 OTHER	Bost-defib Emblem MRI S-icd 12.7mm[msmh]	24	$8,512.68	$170,061.30	$94,478.50	nat. median $94,478 1.0× median
006-3 OTHER	Pancreas Transplant	7	$92,278.98	$99,661.30	$93,201.77	nat. median $85,000 1.1× median
002-1 OTHER	Heart And/or Lung Transplant	7	$91,454.08	$98,770.40	$92,368.62	nat. median $57,500 1.6× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	8	$89,814.04	$96,999.17	$90,712.18	nat. median $104,111 0.9× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	$89,333.98	$96,480.70	$90,227.32	nat. median $89,334 1.0× median

Other procedures at this hospital

Browse this hospital's 8,602 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

001-1	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$63,931.79	$69,046.33	$64,571.11	2026-05-24
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$72,006.35	$77,766.86	$72,726.42	2026-05-24
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$85,914.11	$92,787.24	$86,773.25	2026-05-24
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	14	7	—	—	$148,606.97	$160,495.53	$150,093.04	2026-05-24
002-1	OTHER	Heart And/or Lung Transplant	14	7	—	—	$91,454.08	$98,770.40	$92,368.62	2026-05-24
002-2	OTHER	Heart And/or Lung Transplant	14	7	—	—	$106,680.83	$115,215.30	$107,747.64	2026-05-24
002-3	OTHER	Heart And/or Lung Transplant	14	7	—	—	$143,753.72	$155,254.02	$145,191.26	2026-05-24
002-4	OTHER	Heart And/or Lung Transplant	14	7	—	—	$232,467.30	$251,064.68	$234,791.97	2026-05-24
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	8	—	—	$47,347.52	$51,135.33	$47,821.00	2026-05-24
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	8	—	—	$68,867.98	$74,377.42	$69,556.66	2026-05-24
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	18	8	—	—	$100,636.02	$108,686.90	$101,642.38	2026-05-24
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	8	—	—	$35,748.38	$38,608.25	$36,105.86	2026-05-24
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	8	—	—	$48,838.14	$52,745.19	$49,326.52	2026-05-24
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	18	8	—	—	$66,321.18	$71,626.87	$66,984.39	2026-05-24
006-1	OTHER	Pancreas Transplant	14	7	—	—	$62,968.21	$68,005.67	$63,597.89	2026-05-24
006-2	OTHER	Pancreas Transplant	14	7	—	—	$80,107.54	$86,516.15	$80,908.62	2026-05-24
006-3	OTHER	Pancreas Transplant	14	7	—	—	$92,278.98	$99,661.30	$93,201.77	2026-05-24
006-4	OTHER	Pancreas Transplant	14	7	—	—	$131,237.06	$141,736.03	$132,549.43	2026-05-24
007-1	OTHER	Allogeneic Bone Marrow Transplant	18	8	—	—	$62,554.84	$67,559.23	$63,180.39	2026-05-24
007-2	OTHER	Allogeneic Bone Marrow Transplant	18	8	—	—	$70,253.57	$75,873.85	$70,956.10	2026-05-24
007-3	OTHER	Allogeneic Bone Marrow Transplant	18	8	—	—	$89,814.04	$96,999.17	$90,712.18	2026-05-24
007-4	OTHER	Allogeneic Bone Marrow Transplant	18	8	—	—	$152,401.34	$164,593.45	$153,925.35	2026-05-24
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	8	—	—	$40,616.59	$43,865.91	$41,022.75	2026-05-24
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	8	—	—	$48,544.38	$52,427.93	$49,029.82	2026-05-24
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	18	8	—	—	$77,093.53	$83,261.01	$77,864.47	2026-05-24
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	8	—	—	$45,409.63	$49,042.40	$45,863.72	2026-05-24
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	18	8	—	—	$98,525.65	$106,407.70	$99,510.90	2026-05-24
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	8	—	—	$52,002.27	$56,162.45	$52,522.29	2026-05-24
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	8	—	—	$105,647.44	$114,099.23	$106,703.91	2026-05-24
020-4	OTHER	Open Craniotomy For Trauma	18	8	—	—	$36,200.68	$39,096.74	$36,562.69	2026-05-24
021-4	OTHER	Open Craniotomy Except Trauma	18	8	—	—	$39,238.88	$42,377.99	$39,631.27	2026-05-24
023-4	OTHER	Spinal Procedures	18	8	—	—	$39,784.23	$42,966.97	$40,182.07	2026-05-24
027-4	OTHER	Other Open Craniotomy	18	8	—	—	$34,586.68	$37,353.61	$34,932.54	2026-05-24
089-4	OTHER	Major Cranial Or Facial Bone Procedures	18	8	—	—	$36,915.32	$39,868.54	$37,284.47	2026-05-24
091-4	OTHER	Other Major Head And Neck Procedures	18	8	—	—	$41,527.08	$44,849.25	$41,942.35	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	64	32	—	—	$21,329.08	$507,955.22	$228,261.07	2026-05-24
10	OTHER	Pancreas Transplant	64	32	—	—	$15,933.92	$218,345.01	$58,842.60	2026-05-24
103286455-3303939	OTHER	Ic-trl Peri Ath Brch - Gl 106	52	24	$60,498.00	$9,074.70 85% off	$6,231.29	$60,498.00	$42,348.60	2026-05-24
105604893-3303939	OTHER	P-initial Insertion, Pacer, Rt Ventricle [msmh]	52	24	$61,682.00	$9,252.30 85% off	$6,353.25	$61,682.00	$43,177.40	2026-05-24
105604898-3303939	OTHER	P-ins Lv Lead Exist [msmh]	52	24	$61,391.00	$9,208.65 85% off	$6,323.27	$61,391.00	$42,973.70	2026-05-24
105604904-3303939	OTHER	P-implnt Loop Rec [msmh]	52	24	$58,755.00	$8,813.25 85% off	$6,051.76	$58,755.00	$41,128.50	2026-05-24
105604916-3303939	OTHER	S-iliac Revas W Stnt[msmh]	52	24	$60,498.00	$9,074.70 85% off	$6,231.29	$60,498.00	$42,348.60	2026-05-24
105604917-3303939	OTHER	S-tib Per Revas Athr[msmh]	52	24	$127,701.00	$19,155.15 85% off	$8,512.68	$127,701.00	$89,390.70	2026-05-24
105604918-3303939	OTHER	S-tib Per Revas Stnt[msmh]	66	31	$92,214.00	$13,832.10 85% off	$1,220.84	$96,974.47	$41,496.30	2026-05-24
105604919-3303939	OTHER	Ic-trl Peri Ath Brch[msmh]	52	24	$60,498.00	$9,074.70 85% off	$6,231.29	$60,498.00	$42,348.60	2026-05-24
105604921-3303939	OTHER	S-replace Aicd Generator, Dual Chamber[msmh]	52	24	$62,305.00	$9,345.75 85% off	$6,417.42	$62,305.00	$43,613.50	2026-05-24
105604939-3303939	OTHER	Ir-tc Plc Stn Art In[msmh]	52	24	$57,128.00	$8,569.20 85% off	$5,884.18	$57,128.00	$39,989.60	2026-05-24
105604970-3303939	OTHER	S-fem Pop Revas Athr[msmh]	52	24	$83,780.00	$12,567.00 85% off	$8,512.68	$83,780.00	$58,646.00	2026-05-24
105604971-3303939	OTHER	S-fem Pop Revas Stnt[msmh]	52	24	$83,780.00	$12,567.00 85% off	$8,512.68	$83,780.00	$58,646.00	2026-05-24
105604972-3303939	OTHER	S-fem Pop Stnt Athr [msmh]	68	32	$127,701.00	$19,155.15 85% off	$1,263.73	$123,589.72	$52,995.91	2026-05-24
105604973-3303939	OTHER	S-tib Per Revas W Tl[msmh]	52	24	$83,780.00	$12,567.00 85% off	$8,512.68	$83,780.00	$58,646.00	2026-05-24
105604988-3303939	OTHER	Cc-rvsc Ivl Stent[msmh]	52	24	$123,610.00	$18,541.50 85% off	$8,512.68	$123,610.00	$86,527.00	2026-05-24
105790627-3303939	OTHER	Ep-ablate Vent Tacy[msmhl]	52	24	$49,459.00	$7,418.85 85% off	$5,094.28	$49,459.00	$34,621.30	2026-05-24
105794661-3303939	OTHER	S-fem Pop Revas Athr[msmhl]	70	32	$83,780.00	$12,567.00 85% off	$5,954.24	$90,648.97	$37,701.00	2026-05-24
105794664-3303939	OTHER	S-tib Per Revas W Tl[msmhl]	56	25	$83,780.00	$25,134.00 70% off	$8,378.00	$75,402.00	$41,890.00	2026-05-24
105794665-3303939	OTHER	S-tib Per Revas Athr[msmhl]	56	25	$127,701.00	$38,310.30 70% off	$8,512.68	$114,930.90	$63,850.50	2026-05-24
105794706-3303939	OTHER	P-ins-rpl Gen Dual[msbl]	52	24	$66,616.56	$9,992.48 85% off	$6,861.51	$66,616.56	$46,631.59	2026-05-24
105794745-3303939	OTHER	P-initial Insert Pacer, Ra & Rv Chambers[msmh]	52	24	$77,702.00	$11,655.30 85% off	$8,003.31	$77,702.00	$54,391.40	2026-05-24
106377192-3303939	OTHER	Ic-insert Defibrillator System [msmh]	52	24	$178,218.00	$26,732.70 85% off	$8,512.68	$178,218.00	$124,752.60	2026-05-24
106412423-3303939	OTHER	Medtcrdm- Defib Crd Rsyn Thrpy Df1cblt Ea1[msmhl]	54	24	$188,957.00	$56,687.10 70% off	$8,512.68	$170,061.30	$94,478.50	2026-05-24
106413330-3303939	OTHER	Biot- Defib Promri Dr-t Df4 Iperia[msmh]	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413331-3303939	OTHER	Medtcrdm- Defib Impl Cardvrt Xtrme Dr Au Ea1[msmhl	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413332-3303939	OTHER	Medtcrdm- Defib Crd Rsyn Thrpy Au Ea1[msmhl]	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413333-3303939	OTHER	Medtcrdm- Defib Crd Rsyn Thrpy Xtrme US Au1[msmhl]	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413334-3303939	OTHER	Medtcrdm- Defib Impl Cardvrt MRI Xtrme A Ua1[msmhl	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413335-3303939	OTHER	Medt- Defib Crd Rsyn Cblt Xtrme Hf[msmh]	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413415-3303939	OTHER	Biot-defib Card Ilivia 7 Df-4 Conn[msmh]	54	24	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106413418-3303939	OTHER	Bost-defib Emblem MRI S-icd 12.7mm[msmh]	54	24	$188,957.00	$56,687.10 70% off	$8,512.68	$170,061.30	$94,478.50	2026-05-24
106417277-3303939	OTHER	Medtendo- Gft Stnt Vlnt Nvon Sys Tpr 20 Ea1 014 Ot	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417278-3303939	OTHER	Meri- Gft Stnt Afx2 2brch 100x16x40[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417279-3303939	OTHER	Meri- Gft Stnt Afx2 2brch 60x40x22mm[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417280-3303939	OTHER	Meri- Gft Stnt Afx2 2brch 80x16x40mm[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417281-3303939	OTHER	Meri- Gft Stnt Afx2 2brch 80x20x40mm[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417282-3303939	OTHER	W L - Gft Leg C3 Ipsl 31x14.5x13[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417283-3303939	OTHER	W L - Gft Leg C3 Ipsl 31x14.5x17[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417284-3303939	OTHER	Meri- Gft Stnt Afx2 2brch 80x40x16mm[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417285-3303939	OTHER	Wl G- Eprsth Xcldr Aaa 32x14.5x14 18[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
106417286-3303939	OTHER	Meri- Sys Gft Alto Abd Stnt 23[msmh]	56	25	$113,375.00	$34,012.50 70% off	$8,512.68	$102,037.50	$56,687.50	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	70	35	—	—	$9,414.30	$135,086.91	$46,942.22	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	70	35	—	—	$7,310.69	$102,068.74	$37,756.36	2026-05-24
120-4	OTHER	Major Respiratory And Chest Procedures	18	8	—	—	$36,033.82	$38,916.53	$36,394.16	2026-05-24
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	18	8	—	—	$34,195.45	$36,931.08	$34,537.40	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	60	30	—	—	$7,146.06	$264,712.77	$95,641.13	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	70	35	—	—	$3,163.93	$110,772.25	$38,122.12	2026-05-24
1596854-3303939	OTHER	OB Chrg - Delivery Level - Level 3	52	24	$50,945.00	$7,641.75 85% off	$5,247.34	$50,945.00	$35,661.50	2026-05-24
1596855-3303939	OTHER	OB Chrg - Delivery Level - Level 2	52	24	$50,936.00	$7,640.40 85% off	$5,246.41	$50,936.00	$35,655.20	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	60	30	—	—	$5,426.96	$98,962.44	$50,225.95	2026-05-24
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	8	—	—	$36,478.35	$39,396.62	$36,843.13	2026-05-24
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	18	8	—	—	$67,954.36	$73,390.70	$68,633.90	2026-05-24
161-1	OTHER	Implantable Heart Assist Systems	18	8	—	—	$93,844.33	$101,351.88	$94,782.78	2026-05-24
161-2	OTHER	Implantable Heart Assist Systems	18	8	—	—	$98,783.50	$106,686.18	$99,771.33	2026-05-24
161-3	OTHER	Implantable Heart Assist Systems	18	8	—	—	$123,031.66	$132,874.19	$124,261.97	2026-05-24
161-4	OTHER	Implantable Heart Assist Systems	18	8	—	—	$160,593.79	$173,441.29	$162,199.72	2026-05-24
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-24
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	8	—	—	$43,866.14	$47,375.44	$44,304.81	2026-05-24
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	18	8	—	—	$64,045.67	$69,169.33	$64,686.13	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	70	35	—	—	$10,049.13	$276,002.60	$47,368.98	2026-05-24
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	18	8	—	—	$36,281.36	$39,183.87	$36,644.17	2026-05-24
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	18	8	—	—	$54,499.12	$58,859.05	$55,044.11	2026-05-24
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	18	8	—	—	$36,808.56	$39,753.24	$37,176.65	2026-05-24
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	18	8	—	—	$49,838.33	$53,825.39	$50,336.71	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	70	35	—	—	$23,555.35	$316,890.54	$36,188.41	2026-05-24
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	18	8	—	—	$44,924.65	$48,518.62	$45,373.90	2026-05-24
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	18	8	—	—	$49,022.12	$52,943.89	$49,512.34	2026-05-24
169-4	OTHER	Major Abdominal Vascular Procedures	18	8	—	—	$42,047.59	$45,411.39	$42,468.06	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	60	30	—	—	$8,847.66	$91,726.40	$46,554.74	2026-05-24
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	18	8	—	—	$34,153.81	$36,886.12	$34,495.35	2026-05-24
178-2	OTHER	External Heart Assist Systems	18	8	—	—	$37,313.14	$40,298.19	$37,686.27	2026-05-24
178-3	OTHER	External Heart Assist Systems	18	8	—	—	$40,049.05	$43,252.97	$40,449.54	2026-05-24
178-4	OTHER	External Heart Assist Systems	18	8	—	—	$54,135.54	$58,466.38	$54,676.90	2026-05-24
179-4	OTHER	Defibrillator Implants	18	8	—	—	$44,105.36	$47,633.79	$44,546.42	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	62	31	—	—	$72,059.88	$917,827.08	$458,764.69	2026-05-24
181-4	OTHER	Lower Extremity Arterial Procedures	18	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-24
183-4	OTHER	Percutaneous Structural Cardiac Procedures	18	8	—	—	$46,195.76	$49,891.42	$46,657.72	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	64	32	—	—	$9,821.34	$169,870.24	$58,542.29	2026-05-24
19144771-3312035	OTHER	Ir Embolization Art/Vein Hemorrhage	52	24	$59,774.00	$8,966.10 85% off	$6,156.72	$59,774.00	$41,841.80	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	64	32	—	—	$15,363.38	$451,732.15	$102,795.13	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	70	35	—	—	$9,687.41	$232,310.24	$64,857.63	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	68	34	—	—	$2,730.00	$129,431.50	$64,720.17	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	70	35	—	—	$7,843.80	$221,666.88	$45,752.90	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	70	35	—	—	$6,004.15	$170,892.00	$87,154.92	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$35,161.27	$41,453.29	$38,307.28	2026-05-24
215	OTHER	Other Heart Assist System Implant	70	35	—	—	$61,092.71	$201,077.16	$80,350.66	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	68	34	—	—	$11,524.40	$155,016.08	$78,855.96	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	68	34	—	—	$12,316.30	$108,354.44	$54,990.99	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	68	34	—	—	$19,300.01	$108,354.44	$54,990.99	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	68	34	—	—	$13,237.32	$124,400.50	$63,131.96	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	68	34	—	—	$14,776.73	$90,278.92	$45,377.31	2026-05-24
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	18	8	—	—	$37,167.12	$40,140.49	$37,538.79	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	68	34	—	—	$19,106.04	$86,022.28	$43,239.41	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	68	34	—	—	$11,554.67	$92,211.88	$42,975.82	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	70	35	—	—	$8,580.42	$172,148.13	$48,991.44	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	68	34	—	—	$13,192.97	$135,334.54	$68,679.34	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	68	34	—	—	$12,998.76	$100,895.84	$51,206.86	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	68	34	—	—	$13,615.36	$123,918.96	$62,887.65	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	68	34	—	—	$13,326.00	$92,168.66	$46,700.36	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	68	34	—	—	$14,029.22	$98,073.58	$49,774.99	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	68	34	—	—	$12,795.78	$73,636.40	$37,018.60	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	68	34	—	—	$18,642.42	$84,298.38	$42,373.58	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	70	35	—	—	$13,664.78	$69,608.12	$35,500.14	2026-05-24
245	OTHER	Aicd Generator Procedures	68	34	—	—	$13,391.75	$96,678.27	$40,134.24	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	70	35	—	—	$10,379.61	$78,842.98	$39,826.77	2026-05-24
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	18	8	—	—	$38,739.65	$41,838.83	$39,127.05	2026-05-24
261-4	OTHER	Major Biliary Tract Procedures	18	8	—	—	$34,051.10	$36,775.19	$34,391.62	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	70	35	—	—	$33,069.13	$117,085.00	$55,364.73	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	70	35	—	—	$2,902.70	$100,028.28	$41,798.41	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	70	35	—	—	$4,804.56	$324,452.50	$64,104.34	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	70	35	—	—	$3,887.73	$125,410.96	$37,451.58	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	70	35	—	—	$3,591.44	$89,457.00	$45,623.07	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	70	35	—	—	$12,976.69	$72,715.50	$36,734.23	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	70	35	—	—	$11,545.07	$116,429.86	$59,379.23	2026-05-24
276	OTHER	Non-maligant Breast Disorders	70	35	—	—	$18,056.07	$100,081.14	$50,545.67	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	70	35	—	—	$10,025.33	$139,747.20	$40,742.63	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	70	35	—	—	$8,658.56	$93,674.36	$47,312.17	2026-05-24
28	OTHER	Spinal Procedures With Mcc	70	35	—	—	$7,909.37	$100,105.88	$50,558.16	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	70	35	—	—	$6,930.00	$387,059.65	$162,283.90	2026-05-24
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	8	—	—	$46,360.73	$50,069.59	$46,824.34	2026-05-24
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	18	8	—	—	$61,230.01	$66,128.41	$61,842.31	2026-05-24
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	18	8	—	—	$46,996.52	$50,756.25	$47,466.49	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	70	35	—	—	$5,969.08	$77,879.96	$39,718.78	2026-05-24
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	18	8	—	—	$41,745.67	$45,085.33	$42,163.13	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$41,076.97	$48,427.58	$44,752.28	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	70	35	—	—	$8,138.04	$77,623.90	$39,588.19	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	70	35	—	—	$8,401.85	$75,652.70	$38,216.64	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	70	35	—	—	$7,405.67	$228,649.42	$43,479.63	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	70	35	—	—	$6,059.73	$97,240.79	$40,192.43	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	70	35	—	—	$10,542.53	$69,008.76	$35,194.47	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	70	35	—	—	$7,134.73	$198,203.73	$38,696.82	2026-05-24
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	18	8	—	—	$35,352.94	$38,181.17	$35,706.47	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	70	35	—	—	$3,570.00	$569,526.76	$133,453.58	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	70	35	—	—	$7,061.59	$125,361.45	$35,124.00	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	70	35	—	—	$7,648.76	$94,443.35	$47,063.90	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	70	35	—	—	$18,491.22	$86,636.47	$34,493.09	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	70	35	—	—	$25,320.20	$89,079.02	$37,359.76	2026-05-24
440-1	OTHER	Kidney Transplant	14	7	—	—	$44,076.85	$47,603.00	$44,517.62	2026-05-24
440-2	OTHER	Kidney Transplant	14	7	—	—	$49,361.83	$53,310.78	$49,855.45	2026-05-24
440-3	OTHER	Kidney Transplant	14	7	—	—	$57,554.17	$62,158.51	$58,129.71	2026-05-24
440-4	OTHER	Kidney Transplant	14	7	—	—	$87,313.90	$94,299.01	$88,187.03	2026-05-24
441-4	OTHER	Major Bladder Procedures	18	8	—	—	$39,231.65	$42,370.18	$39,623.96	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	62	31	—	—	$23,348.78	$232,607.28	$70,812.34	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	62	31	—	—	$17,919.32	$101,677.00	$50,852.88	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	62	31	—	—	$20,003.25	$124,234.60	$39,868.71	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	70	35	—	—	$13,624.20	$195,301.61	$68,143.50	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	70	35	—	—	$15,539.71	$99,448.32	$50,226.29	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	70	35	—	—	$20,842.01	$73,400.72	$37,434.37	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	62	31	—	—	$15,699.52	$150,427.80	$54,604.70	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	70	35	—	—	$13,326.95	$224,388.85	$47,453.41	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	70	35	—	—	$6,600.26	$95,613.56	$48,762.92	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	70	35	—	—	$10,921.98	$88,425.54	$44,663.09	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	70	35	—	—	$10,104.09	$233,602.16	$41,897.28	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	70	35	—	—	$7,639.64	$75,150.82	$38,326.92	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	64	32	—	—	$8,894.14	$284,137.47	$86,227.25	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	70	35	—	—	$17,722.47	$67,068.10	$34,204.73	2026-05-24
570	OTHER	Skin Debridement With Mcc	70	35	—	—	$3,230.66	$337,061.33	$58,847.58	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	70	35	—	—	$7,552.49	$108,006.72	$54,545.71	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	70	35	—	—	$7,383.27	$84,000.16	$42,209.70	2026-05-24
583-1	OTHER	Neonate With Ecmo	18	8	—	—	$165,358.21	$178,586.86	$167,011.79	2026-05-24
583-2	OTHER	Neonate With Ecmo	18	8	—	—	$191,346.89	$206,654.65	$193,260.36	2026-05-24
583-3	OTHER	Neonate With Ecmo	18	8	—	—	$259,486.85	$280,245.80	$262,081.72	2026-05-24
583-4	OTHER	Neonate With Ecmo	18	8	—	—	$327,626.86	$353,837.00	$330,903.12	2026-05-24
588-1	OTHER	Female Reproductive System Reconstructive Procedures	18	8	—	—	$69,745.48	$75,325.12	$70,442.94	2026-05-24
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$169,531.65	$183,094.18	$171,226.97	2026-05-24
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$173,134.48	$186,985.23	$174,865.82	2026-05-24
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	18	8	—	—	$268,742.83	$290,242.25	$271,430.25	2026-05-24
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$52,506.25	$56,706.75	$53,031.31	2026-05-24
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$43,588.48	$47,075.55	$44,024.36	2026-05-24
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	18	8	—	—	$34,670.70	$37,444.36	$35,017.41	2026-05-24
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$52,763.51	$56,984.59	$53,291.14	2026-05-24
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$99,157.23	$107,089.81	$100,148.80	2026-05-24
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	18	8	—	—	$169,253.66	$182,793.95	$170,946.19	2026-05-24
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$89,333.98	$96,480.70	$90,227.32	2026-05-24
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$112,711.39	$121,728.30	$113,838.51	2026-05-24
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	18	8	—	—	$175,271.74	$189,293.48	$177,024.46	2026-05-24
6	OTHER	Liver Transplant Without Mcc	64	32	—	—	$10,909.35	$367,803.87	$69,771.96	2026-05-24
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$75,590.50	$81,637.74	$76,346.40	2026-05-24
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$99,066.83	$106,992.18	$100,057.50	2026-05-24
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$125,634.73	$135,685.50	$126,891.07	2026-05-24
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	8	—	—	$68,560.56	$74,045.40	$69,246.17	2026-05-24
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	18	8	—	—	$140,888.59	$152,159.68	$142,297.48	2026-05-24
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$58,129.27	$62,779.61	$58,710.56	2026-05-24
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$75,071.12	$81,076.81	$75,821.84	2026-05-24
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$96,498.59	$104,218.48	$97,463.58	2026-05-24
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$42,956.73	$46,393.27	$43,386.30	2026-05-24
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$58,189.70	$62,844.87	$58,771.59	2026-05-24
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	18	8	—	—	$61,099.22	$65,987.16	$61,710.21	2026-05-24
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$37,807.29	$40,831.87	$38,185.36	2026-05-24
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$39,797.14	$42,980.91	$40,195.11	2026-05-24
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$83,785.00	$90,487.80	$84,622.85	2026-05-24
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	18	8	—	—	$168,174.20	$181,628.13	$169,855.94	2026-05-24
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	8	—	—	$47,763.59	$51,584.68	$48,241.23	2026-05-24
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	18	8	—	—	$73,331.35	$79,197.86	$74,064.67	2026-05-24
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$38,190.37	$41,245.60	$38,572.27	2026-05-24
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$49,315.72	$53,260.97	$49,808.87	2026-05-24
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$70,123.64	$75,733.54	$70,824.88	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$51,385.83	$60,581.19	$55,983.51	2026-05-24
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	8	—	—	$44,863.20	$48,452.26	$45,311.83	2026-05-24
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	18	8	—	—	$68,799.08	$74,303.00	$69,487.07	2026-05-24
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	8	—	—	$42,414.30	$45,807.44	$42,838.44	2026-05-24
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	18	8	—	—	$55,288.17	$59,711.22	$55,841.05	2026-05-24
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	18	8	—	—	$57,529.82	$62,132.20	$58,105.12	2026-05-24
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	18	8	—	—	$45,408.49	$49,041.17	$45,862.58	2026-05-24
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	8	—	—	$34,365.28	$37,114.50	$34,708.93	2026-05-24
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	18	8	—	—	$41,673.69	$45,007.59	$42,090.43	2026-05-24
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	18	8	—	—	$38,391.46	$41,462.78	$38,775.38	2026-05-24
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$59,798.47	$64,582.34	$60,396.45	2026-05-24
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$94,250.41	$101,790.44	$95,192.92	2026-05-24
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	18	8	—	—	$195,063.44	$210,668.52	$197,014.08	2026-05-24
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$38,026.26	$41,068.36	$38,406.52	2026-05-24
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$62,002.64	$66,962.85	$62,622.66	2026-05-24
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	18	8	—	—	$161,453.90	$174,370.21	$163,068.44	2026-05-24
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	18	8	—	—	$52,288.74	$56,471.84	$52,811.63	2026-05-24
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	18	8	—	—	$40,075.72	$43,281.78	$40,476.48	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	64	32	—	—	$2,869.79	$175,826.74	$41,160.17	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	70	35	—	—	$6,389.80	$259,576.66	$46,574.32	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	70	35	—	—	$5,715.56	$104,817.67	$37,292.99	2026-05-24
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	8	—	—	$43,922.74	$47,436.55	$44,361.96	2026-05-24
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	4	2	—	—	$304,751.38	$359,285.84	$332,018.61	2026-05-24
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	18	8	—	—	$37,453.32	$40,449.59	$37,827.85	2026-05-24
690-4	OTHER	Acute Leukemia	18	8	—	—	$35,850.55	$38,718.59	$36,209.05	2026-05-24
7	OTHER	Lung Transplant	64	32	—	—	$39,947.05	$1,297,708.32	$306,104.71	2026-05-24
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	18	8	—	—	$57,365.77	$61,955.03	$57,939.42	2026-05-24
752-4	OTHER	Disorders Of Personality And Impulse Control	18	8	—	—	$37,618.18	$40,627.64	$37,994.36	2026-05-24
759-4	OTHER	Eating Disorders	18	8	—	—	$53,679.19	$57,973.52	$54,215.98	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	68	34	—	—	$1,680.00	$99,163.20	$49,596.49	2026-05-24
791	OTHER	Prematurity With Major Problems	68	34	—	—	$1,365.00	$71,748.10	$35,894.42	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	68	34	—	—	$945.00	$73,357.08	$36,698.59	2026-05-24
799	OTHER	Splenectomy With Mcc	70	35	—	—	$9,201.82	$78,584.02	$40,077.85	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	64	32	—	—	$10,413.10	$355,164.24	$68,472.13	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	70	35	—	—	$6,738.59	$138,089.45	$36,035.82	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	70	35	—	—	$13,249.71	$98,018.28	$49,989.32	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	70	35	—	—	$4,958.62	$102,258.18	$40,492.59	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	70	35	—	—	$8,660.77	$89,972.75	$41,182.60	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	68	34	—	—	$5,247.00	$92,564.38	$46,298.40	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	68	34	—	—	$4,418.73	$98,123.48	$49,076.84	2026-05-24
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	18	8	—	—	$41,561.96	$44,886.92	$41,977.58	2026-05-24
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	18	8	—	—	$113,251.39	$122,311.50	$114,383.91	2026-05-24
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	18	8	—	—	$57,233.90	$61,812.61	$57,806.24	2026-05-24
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	18	8	—	—	$39,885.91	$43,076.78	$40,284.77	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	70	35	—	—	$17,093.78	$84,544.24	$43,117.56	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	70	35	—	—	$6,489.82	$78,872.08	$39,947.33	2026-05-24
863-3	OTHER	Neonatal Aftercare	18	8	—	—	$46,127.72	$49,817.94	$46,589.00	2026-05-24
863-4	OTHER	Neonatal Aftercare	18	8	—	—	$71,891.87	$77,643.22	$72,610.79	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	68	34	—	—	$3,150.00	$113,249.70	$56,636.92	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	64	32	—	—	$3,534.13	$60,308.85	$34,652.00	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	70	35	—	—	$6,321.85	$73,749.84	$37,612.42	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	70	35	—	—	$8,008.10	$68,551.94	$34,961.49	2026-05-24
910-4	OTHER	Craniotomy For Multiple Significant Trauma	18	8	—	—	$44,380.87	$47,931.34	$44,824.68	2026-05-24
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	18	8	—	—	$41,928.25	$45,282.51	$42,347.53	2026-05-24
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	18	8	—	—	$40,736.95	$43,995.91	$41,144.32	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	70	35	—	—	$13,832.38	$323,299.32	$164,882.65	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	70	35	—	—	$5,146.90	$117,045.20	$58,533.91	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	68	34	—	—	$5,247.00	$69,350.64	$34,696.17	2026-05-24
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	18	8	—	—	$36,551.68	$39,475.82	$36,917.20	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	70	35	—	—	$47,783.19	$122,026.30	$60,841.53	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	70	35	—	—	$9,980.87	$75,103.63	$34,395.41	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	70	35	—	—	$9,654.15	$123,550.92	$63,010.97	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	70	35	—	—	$8,971.97	$74,001.52	$37,740.78	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	70	35	—	—	$22,452.96	$444,531.38	$89,378.90	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	70	35	—	—	$6,543.57	$80,953.86	$41,286.47	2026-05-24
98159699-3303939	OTHER	Insertion Of Impella Heart Pump - Gl 106	52	24	$353,531.00	$53,029.65 85% off	$8,512.68	$353,531.00	$247,471.70	2026-05-24

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